Individual provider · Type 1 NPI

Glennesha Mudd, CSW

Clinical Social Worker · Louisville, KY

NPI number 1568901601 Active

Practice location

411 E Chestnut St # 5B
Louisville, KY 40202-1713

Call (502) 588-2330 Map

Fax (502) 588-9513

Mailing address

PO Box 776879
Chicago, IL 60677-6879

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X252393 (KY)
Clinical Social Worker 1041C0700X34009273A (IN)
Clinical Social Worker Primary 1041C0700X254825 (KY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1568901601

Glennesha Mudd, CSW's National Provider Identifier is 1568901601, issued on Feb 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Jan 20, 2023.